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Minimally Invasive Surgery


Surgery means cuts and bruises, pain, extended bed rest. Introducing minimally invasive surgery in gynaecology, the most advanced surgical process to help you give the pain and the troubles a miss.

What is Minimally Invasive Surgery?

Minimally invasive gynaecology is that breakthrough in surgery which focuses on improving the medical condition of women without adversely affecting their quality of life.

This is done with the help of a special type of surgery called Minimally Invasive Surgery (MIS), also known as Laparoscopic surgery. MIS is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5 cm- 1 cm) instead of making larger incisions needed in traditional procedures.

How is it performed?

Minimally Invasive Surgery is conducted using a device called a laparoscope, which is a telescopic rod lens system that is connected to a video camera. This is attached to a fiber optic cable system connected to a 'cold' light source, to illuminate the operative field.

What are the advantages of MIS?

The advantage of Laparoscopic surgery is that the smaller incisions minimize post-operative pain and speed up recovery time. A laparoscope provides 3 times magnification and hence a better visual field of the surgery to the doctors. This procedure has been adopted successfully in performing almost all gynaecological surgeries.

Path breaking advances in MIS (Minimally Invasive Surgery)

Single incision laparoscopic surgery
The Centre for Maternity & Gynaecology at Kokilaben Hospital was the first to successfully perform a Total Laparoscopic Hysterectomy through a single small 2.5 cm incision, leaving very less visible scarring with faster recovery and reduced pain killer usage.

Tape procedures for incontinence
Stress urinary incontinence (urine leakage when coughing /sneezing) is a common problem often ignored and suffered by women. It is treatable with a relatively simple vaginal procedure called TOT or Trans Obturator Tape, which is inserted just below the urine passage to support it and stop urine from leaking.

Prolift repair for prolapse of uterus, bladder, rectum
Prolapse (fall or shift) of vagina and uterus along with urinary bladder and rectum can be quiet distressing. Prolift is a set of needles with a synthetic mesh attached which can be placed through the vagina and replace the support lost .This is a shorter less invasive method with good results.

Surgeries performed at Kokilaben Hospital

  • Laparoscopic removal of ovarian cysts
  • Laparoscopic removal of fibroids
  • Laparoscopic removal of uterus and ovaries
  • Surgeries for urinary incontinence (urine leakage)
  • Surgeries for prolapse of the uterus and bladder
  • Tubal reanastomisis (reversal of tube blockage) after tubal ligation
  • Excisional surgery for severe endometriosis causing severe pain during periods
  • Hysteroscopic surgeries (done with a telescope through the vagina) for excessive bleeding, septa in the uterus, fibroid in uterus and polyps

Special features of Kokilaben Hospital

  • World-class equipment for laparoscopic surgeries
  • We have top of the line image 1 cameras for laparoscopic surgeries with all necessary instruments at par with any major laparoscopy centre in the world
  • We use technology and materials which are FDA approved and backed by scientific research
  • Dedicated gynaecologist trained in minimal access surgery who concentrates only on laparoscopic surgeries

Dr. Anshumala Shukla-Kulkarni - MD (O & G), DGO, FCPS, Fellow in Minimally Invasive Surgery (Singapore & Australia)
Speciality Interest: Laparoscopic Surgery for Endometriosis, Pelvic Floor Surgery, Urinary Incontinence, Minimal Access and Robotic Gynaecologic Surgery

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